Mrs Stacey Jo Cherry, LCPC | |
25 Main St, Machias, ME 04654-1165 | |
(207) 255-4100 | |
(207) 255-4100 |
Full Name | Mrs Stacey Jo Cherry |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 25 Main St, Machias, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376731943 | NPI | - | NPPES |
1376731943 | Other | ME | MAINECARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | XL3276 (Maine) | Primary |
Entity Name | Health Affiliates Maine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
Mailing Address | Practice Location Address |
---|---|
Mrs Stacey Jo Cherry, LCPC 25 Main St, Machias, ME 04654-1165 Ph: (207) 255-4100 | Mrs Stacey Jo Cherry, LCPC 25 Main St, Machias, ME 04654-1165 Ph: (207) 255-4100 |
Lynda D. Roberts, MHRT-CSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Stackpole Dr, Machias, ME 04654 Phone: 207-255-0996 Fax: 207-255-8748 | |
Gretchen A Neubelt, MHRT-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Stackpole Dr, Machias, ME 04654 Phone: 207-255-0996 Fax: 207-255-8748 | |
Nicolette W. Yerxa, MHRT-CSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Stackpole Dr, Machias, ME 04654 Phone: 207-255-0996 Fax: 207-255-8748 | |
Sean J Stoddard, MHRT-CSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Stackpole Dr, Machias, ME 04654 Phone: 207-255-0996 Fax: 207-255-8748 | |
Amy Dolloff, MHRT-CSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Stackpole Dr, Machias, ME 04654 Phone: 207-255-0996 Fax: 207-255-8748 | |
Ms. Elise Brisson, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Steve's Lane, Machias, ME 04654 Phone: 207-255-3426 | |
Rosalie Hanscom, MHRT-CSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Stackpole Dr, Machias, ME 04654 Phone: 207-255-0996 Fax: 207-255-8748 |